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Efficacy and Safety of CAM in Kidney Diseases

Efficacy and Safety of CAM in Kidney Diseases

Mayuree Tangkiatkumjai, Chatchai Kreepala, Li-Chia Chen
Copyright: © 2018 |Pages: 45
ISBN13: 9781522528821|ISBN10: 1522528822|EISBN13: 9781522528838
DOI: 10.4018/978-1-5225-2882-1.ch007
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MLA

Mayuree Tangkiatkumjai, et al. "Efficacy and Safety of CAM in Kidney Diseases." Complementary and Alternative Medicine and Kidney Health, IGI Global, 2018, pp.156-200. https://doi.org/10.4018/978-1-5225-2882-1.ch007

APA

M. Tangkiatkumjai, A. Casarin, L. Chen, & D. Walker (2018). Efficacy and Safety of CAM in Kidney Diseases. IGI Global. https://doi.org/10.4018/978-1-5225-2882-1.ch007

Chicago

Mayuree Tangkiatkumjai, et al. "Efficacy and Safety of CAM in Kidney Diseases." In Complementary and Alternative Medicine and Kidney Health. Hershey, PA: IGI Global, 2018. https://doi.org/10.4018/978-1-5225-2882-1.ch007

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Abstract

The evidence of benefits and safety of complementary and alternative medicine for kidney diseases are still dubious to both practitioners and general public. Chinese herbal medicines are the main CAM in treating chronic kidney disease as an adjunctive therapy to conventional medicine. Several meta-analyses of randomised controlled trials assessing the efficacy of CHM reported that Astragalus and Cordyceps seem to have a beneficial effect on the kidneys. Acupuncture, yoga and aromatherapy may alleviate symptoms in patients with ESRD, such as pain, anxiety and pruritus. This evidence should be interpreted with caution due to several limitations of the RCTs of CAM, i.e., small sample sizes, unclear randomisation and blinding. Acute kidney injury is the common nephropathy caused by herbal and dietary supplements, e.g. aristolochic acid. Dietary supplements may induce uncontrolled hyperkalemia and hyperphosphatemia in patients with advanced CKD. Unregistered herbal products from India and China may be adulterated by conventional medicines and heavy metals, which could cause AKI.

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